Immunization Update
SNOW Conference
October 10, 2014
Trang Kuss, RN, MN, MPH
Office of Immunization and Child Profile
www.doh.wa.gov/immununizations/schoolandchildcare
Topics for Today
• School immunization requirements
• Reporting
• Upcoming changes
o CIS and COE revision update
o Varicella Implementation Plan
School Requirements for
School Year 2014-15
Immunization Requirements
DTaP
5
Exceptions
Five doses grades K-12
4 doses required if 4th dose given on or after 4th birthday
DTaP given after 7 years of age counts for Tdap dose
Immunization Requirements
TdaP
1
One dose for grades 6-12 if student is at least 11 years old
Just so you know…
Tdap given between ages 7 to 10 counts towards the requirement
Td only: Tdap required
Immunization Requirements
DTaP/Tdap/Td
Students 7 years of age or older
≤4
doses
of DTaP
Tdap for catch-up
No
DTaP
Tdap followed by 2 Td
DTaP
given
instead
of Tdap
DTaP counts for Tdap
Immunization Requirements
Hep B
3
Three doses grades K-12
Immunization Requirements
Hep B
• Min interval between doses
1 and 2 = 1 month
2 and 3 = 2 months
1 and 3 = 16 weeks
• Min interval between doses
1 and 2 = 1 month
2 and 3 = 2 months
1 and 3 = 12 weeks
• Min age for dose 3 = 24
weeks
• Min age for dose 3 = 4 mos
K-7th grade
8th-12th grade
Immunization Requirements
IPV
4
Exception
Four doses grades K-12
3 doses required if 3rd dose given on or after 4th birthday
Immunization Requirements
IPV
K-3rd grade
Dose 4, if given on or after August 7, 2009
Must be given ≥ 4 years of age
Separated from dose 3 by ≥ 6 months
Immunization Requirements
IPV
K-12th grade
Dose 4, if given before August 7, 2009
4 week minimum interval must separate all doses
Dose 1 must be given ≥ 6 weeks of age
Dose 4 must be given ≥ 18 weeks of age
Immunization Requirements
mmr
2
Two doses grades K-12
Immunization Requirements
varicella
2
Two doses grades K-6
Grades 7-12: recommended, but not
required
Immunization Requirements
varicella
Valid provider verification
Blood test showing titer for immunity
Option
one
Documentation in iis or cis printout
Option
two
Letter from provider (out of state valid)
Option
three
Provider documents on cis hard copy
Option
four
reporting
two options:
• Report in the Immunization Information System (IIS) (www.waiis.wa.gov) -
OR -
• Email export from Student Information System to oicpschools@doh.wa.gov (NO
hard copies of Skyward report forms please)
Instructions for filling out the report:
How to Complete the School Immunization Status Report (PPT)
Reporting

For those using the IIS:
 Email with username and
password sent in Sept. to
current users
 If new user, register here:
http://survey.constantcon
tact.com/survey/a07e9s5q
0a0hzlhgg9t/_tmp/greeti
ng
Any questions? email
oicpschools@doh.wa.gov
Reporting
Preschool/child care reporting:
• Do NOT use the IIS, but use online survey tool:
http://survey.constantcontact.com/survey/a07e6ehotx6h79ls3x5/a011mh853m8g
c/questions – OR –
• Email export from Student Information System to oicpschools@doh.wa.gov
(NO hard copies of report forms please)
More information about preschool/child care reporting:
www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ChildCareStatusReporting.aspx
Cis changes
•Separated tdap and td
• removed parent verification of
varicella
• additional rows for pcv and
meningococcal vaccines
• added parent consent for iis
1st page: Medical,
Personal, and Religious
Exemption Request
COE changes
2nd page: Religious
Membership
Exemption Request
DRAFT Varicella Implementation Plan
No Doses Required
7
10 11 12
SY
Two Dose
14-15
8
9
9
10 11 12
15-16
11 12
16-17
17-18
K
K
1
2
3
4
5
K
1
2
3
4
5
6
7
K
1
2
3
4
5
6
7
8
1
2
3
4
5
6
Pending State Board of Health approval in November
7
8
6
8
9
9
10
10 11 12
RESOURCES
 School and Child Care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization
 Vaccines Required charts:
www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements
 Conditional status FAQs in Immunization Manual for School, Preschool, and Child Care:
www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual
 Individual Vaccine Requirements Summary: www.doh.wa.gov/Portals/1/Documents/Pubs/348-284IndividualVaccineReqs2014-15.pdf
 Email for help with determining student compliance: immunenurses@doh.wa.gov
 Email for reporting questions: oicpschools@doh.wa.gov
Thank you so much!
We really appreciate all you do!
Questions??